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CPAP is an acronym for "continuous positive airway pressure", which was developed by Dr. George Gregory and colleagues in the neonatal intensive care unit at the University of California, San Francisco. [1] A variation of the PAP system was developed by Professor Colin Sullivan at Royal Prince Alfred Hospital in Sydney, Australia, in 1981. [2]
The term APRV has also been used in American journals where, from the ventilation characteristics, BIPAP would have been the appropriate terminology. [14] To further confusion, BiPAP is a registered trade-mark for a noninvasive ventilation mode in a specific ventilator (Respironics Inc.).
CPAP is the most effective treatment for moderate to severe obstructive sleep apnea, in which the mild pressure from the CPAP prevents the airway from collapsing or becoming blocked. [ 1 ] [ 2 ] CPAP has been shown to be 100% effective at eliminating obstructive sleep apneas in the majority of people who use the therapy according to the ...
Modes of mechanical ventilation are one of the most important aspects of the usage of mechanical ventilation.The mode refers to the method of inspiratory support. In general, mode selection is based on clinician familiarity and institutional preferences, since there is a paucity of evidence indicating that the mode affects clinical outcome.
The successful application of bubble CPAP requires elaborate nursing care. [6] There is a learning curve to the implementation of the bubble CPAP respiratory approach that requires a team effort. [2] Respiratory therapists are important members of the team. The system has to be snugly fitted and stationed on the infant's head.
Mechanical ventilation is a method to mechanically assist or replace spontaneous breathing. [8] This involves the use of ventilator assisted by a registered nurse, physician, physician assistant, respiratory therapist, paramedic, or other suitable person compressing a bag valve mask.
IPPB may be indicated for patients who are at risk for developing atelectasis and who are unable or unwilling to breathe deeply without assistance. [3] In patients with severe lung hyperinflation, IPPB may decrease dyspnea and discomfort during nebulized therapy.
Respiratory therapist (RT) examining a mechanically ventilated patient in an intensive care unit. RTs participate in the optimization of ventilation management, adjustment, and weaning. Mechanical ventilation is indicated when a patient's spontaneous breathing is inadequate to maintain life. It may be indicated in anticipation of imminent ...